Genetic Mutations in a Spanish Population with Chronic Pancreatitis

Background/Aims: Mutations in the PRSS1 and the SPINK1 genes have variably been associated with alcohol-related, idiopathic and hereditary chronic pancreatitis (CP). The aim of this study was to determine for the first time the significance of PRSS1, SPINK1 mutations and genetic variants of AAT in a...

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Bibliographic Details
Published in:Pancreatology : official journal of the International Association of Pancreatology (IAP) ... [et al.] 2009-11, Vol.9 (5), p.644-651
Main Authors: Mora, Josefina, Comas, Laia, Ripoll, Elia, Gonçalves, Patricia, Queraltó, Josep M, González-Sastre, Francesc, Farré, Antoni
Format: Article
Language:English
Subjects:
Adolescent
Adult
Aged
Aged, 80 and over
Alcohol-related pancreatitis
alpha 1-Antitrypsin - genetics
Carrier Proteins - genetics
Chronic pancreatitis
Endocrinology & Metabolism
Female
Gastroenterology and Hepatology
Genetic mutations
Hereditary pancreatitis
Humans
Idiopathic chronic pancreatitis
Male
Middle Aged
Mutation
Original Paper
Pancreatitis, Alcoholic - genetics
Pancreatitis, Chronic - genetics
Polymorphism, Restriction Fragment Length
Spain
Trypsin - genetics
Trypsin Inhibitor, Kazal Pancreatic
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Summary:Background/Aims: Mutations in the PRSS1 and the SPINK1 genes have variably been associated with alcohol-related, idiopathic and hereditary chronic pancreatitis (CP). The aim of this study was to determine for the first time the significance of PRSS1, SPINK1 mutations and genetic variants of AAT in a group of Spanish patients with CP. Methods: 104 consecutive patients with CP were included, as well as 84 healthy control subjects. The R122H and N29I mutations in the PRSS1 gene, the N34S mutation in the SPINK1 gene and PiS and PiZ mutations in the AAT gene were analyzed by RFLP-PCR methods. Results: No R122H mutation was found in the PRSS1 gene, and N29I mutation was detected in 7.7% of CP patients. A N29I mutation was observed in 3.9% of patients with alcohol-related pancreatitis (ACP). A total of 5.8% of CP patients were identified with the N34S mutation. Genotype MS, SS and MZ were detected in 18.3, 3.8 and 1.3% of CP patients, respectively. Conclusion: The percentage of N29I mutations in ACP patients was higher than that reported in other studies, while the percentage of N34S and AAT mutations in ACP and idiopathic CP patients was similar.
ISSN:1424-3903
1424-3911
DOI:10.1159/000181177